Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Desert Clover Psychiatry, LLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1316693419

Desert Clover Psychiatry, LLC is a Psychiatric/Mental Health Nurse Practitioner in Phoenix, Arizona. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2601 N 3rd St Ste 205
Phoenix, AZ 85004-1145
Phone: (602) 492-2121
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1316693419
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Justin Kodysz — Chief Operations Officer · (602) 492-2121
NPI enumeratedFebruary 28, 2022
Last updated in NPPESOctober 4, 2023
Certification dateOctober 4, 2023
Mailing address2601 N 3rd St Ste 205, Phoenix, AZ 85004-1145

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